2013 Plan Performance - Commercial PPO Managed Care in Central New York

Ratings

Health Plan Preventive and Well-Care for Adults and Children Quality of Care Provided to Members with Illnesses Patient Satisfaction with Access and Service Overall Rating
Child and Adolescent Care Women's Preventive Care Maternal Health Adult Preventive Care Care for Respiratory Conditions Diabetes Care Cardiovascular Care Mental Health Satisfaction with Adult Care
Aetna Life Insurance Company - New York Three stars - above average Three stars - above average Two stars - average Two stars - average Two stars - average Three stars - above average Two stars - average Two stars - average Two stars - average 78%
CDPHP Universal Benefits, Inc. Three stars - above average Three stars - above average Three stars - above average Three stars - above average Two stars - average Three stars - above average Three stars - above average Three stars - above average Three stars - above average 96%
CGLIC (CHLIC) Three stars - above average Three stars - above average Three stars - above average One star - below average Two stars - average Three stars - above average Two stars - average One star - below average Two stars - average 74%
Excellus BlueCross BlueShield Three stars - above average Two stars - average Three stars - above average Three stars - above average Two stars - average Three stars - above average Two stars - average Three stars - above average Two stars - average 85%
GHI (EmblemHealth) One star - below average One star - below average One star - below average Two stars - average One star - below average Two stars - average Three stars - above average One star - below average Two stars - average 52%
MVP Preferred PPO One star - below average Two stars - average One star - below average One star - below average Two stars - average One star - below average One star - below average Three stars - above average Two stars - average 52%
UnitedHealthcare Insurance Company of New York, Inc. One star - below average Three stars - above average One star - below average Two stars - average Two stars - average One star - below average One star - below average Three stars - above average Two stars - average 59%

Key

More stars mean better plan performance.

Indicator Rating
Three Stars Above Average
Two Stars Average
One Star Below Average

Notes

  • Data for HealthNow PPO is reported as a combination of PPO and HMO membership. Results are contained in the Commercial HMO consumer guides.
  • Ratings are based on a comparison of plan rates to statewide averages.
  • The quality ratings are from information submitted by health plans.
  • Patient Satisfaction ratings are from member surveys conducted by certified vendors for the health plans.
  • The quality of care measures used in this guide represent some, but not all of the measures from health plans. For additional information about the individual measures included in each category, please see the New York State Department of Health's website.

Availability